Technology Enabled Community Health Operations A Digital Health

(Technology Enabled Community Health Operations) A Digital Health Revolution Jai Prakash Shivahare, IAS Commissioner of Health, Government of Gujarat

Goals Reduce IMR/ MMR 100% Immunization Inputs and Processes Staff Infrastructure/ Medicines Number of visits to PHCs Reduce Malnutrition Number of review meetings Sex Ratio Number of machines sealed

Data Sources for Health Indicators Census Data on Health indicators NFHS SRS

Current Challenges in health Data management Data Integrity Lag in data Data Analysis • Sample data • Multiplicity of reports • Census • NFHS • District/ Taluka/ Village • Data visualization

Journey of Te. CHO+ program in Gujarat 2009 Janani Program 2013 Im. Te. CHO October 2017 Te. CHO+ Apr 2019 State of Health Nov 2019 My Te. CHO Coming Soon… Dr. Te. CHO

Te. CHO+: a digital health data transformation in making. . . EMamta IM TECHO Te. CHO+

Features of Te. CHO+ Geo Tagging enabled Tracking of time spend in visit Geo Fencing enabled Big Data Analysis &Visualization 8

Assuring Data Quality and Quantity management Health worker skills assessment Beneficiary level verification Health Nurturance & Transformation Hub High Risk Pregnancy Tracking and Management Ensuring Appropriate and informed Referral Ensuring accountabilit y through geo tagging

Front line workers • 10, 793 FHWs (100%) • CHOs (100%) Successful • ASHAs (100%) Roll out in • 2219 Health facilities (100%) Health Facilities entire • Daily 2987/3389 Deliveries registered (88. 2%) state Coverage • 99. 3% of population (6. 53 Cr. ) • 7, 46, 551 pregnancy registration (89. 4%) 10

State of Health: A giant leap towards data transparency • Health data is made available in public domain • Can be accessed and used by every citizen without restriction up to last granularity • Beneficiary details not made available to ensure confidentiality

IF LOGGED IN

Tracking of MMR IF LOGGED IN 14

Continuum of Care using Te. CHO+ > 30 years 15 -49 Years Non communicable disease screening – HT, DM, Caner (Oral, Breast, Cervical) Eligible Couple tracking, ANC/PNC services, Family planning services > 40 years 0 -5 Years Child registration, Immunization and nutrition & Cerebral Palsy screening National Program for Control of blindness Population Enumeration

Comprehensive 7/11 approach for RMNCH+A and beyond Already being monitored using Te. CHO+ Copyright

Big Data Analytics Use of Data => TECHO Provides actionable points

CM Dashboard ( 11 indicators from Te. CHO+) 18

One Stop Health IT solution Real time-real place-real person data entry for 7+4 indicators Third generation health data revolution digital real time decision support system First step in direction of e Health Records

Front line workers Public & Private Health Facilities CM Dashboard for review One Stop Solution for Health managers Beneficiaries Citizens & PRI members

One vision, One mission Team Gujarat

November 2018 Ranking of Departments/ Districts Remarkable improvement in Health indicators • Full immunization • Sex ratio • IMR • MMR November 2019

Partners Argusoft India Ltd Software SEWA Rural, Jhagadia- Training and technical guidance GVK EMRI - call center support UNICEF - technical support 24

Way Forward • Work in progress to include mental health, RBSK, Blindness Control Program • Integration with Birth Registration System and CAS-ICDS • Linkages and support to other departments such as Education/ WCD • Linkages with Aadhar for improving accuracy of Te. CHO+ Data • Will be happy to help other states implement Te. CHO

Thank You